Charmed Home Care LLC
Home Health in Highland Park, MI. Organization (NPI-2).
NPI number1194331249
StatusActive
Last updated in NPPESSep 23, 2020
Details
- NPI
- 1194331249
- Entity type
- Organization (NPI-2)
- Legal business name
- Charmed Home Care LLC
- Organization subpart
- No
- Enumeration date
- Sep 23, 2020
- Certification date
- Sep 23, 2020
- Last updated
- Sep 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – |
Practice location
195 Waverly StHighland Park, MI 48203-3270
Phone 313-468-0579
Mailing address
195 Waverly StHighland Park, MI 48203-3270
Phone 313-468-0579
Authorized official
Carina Daniel
Ceo
3134680579
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